Unity Bank

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Property & Loan Sales

Short Inquiry Form

* Required

How did you find out about us?

other:

Purpose of Loan:*

Property value:*

Loan Program:*

Loan amount you're applying for:*

or % Down payment:

Will there be a co-borrower applying with you?*	Yes	No

Where is the property located?

Street Address:*	Property type:*

City:*	Property will be:*

State:*	Zip:*

Borrower Info

Primary Borrower Co-Borrower

First Name:*
Middle Name:
Last Name:*
Email Address:*

Current Address

Street Address:

City, State, Zip:

State:

Zip:

Contact me at:*

Home	Work	Cell Phone

Home phone number:*

Work phone number:

Cell phone number:

Best time to call:

My/Our credit history is:

Excellent

OK, but some problems

Major credit problems

Don't know

Questions / Comments

By submitting this online application I/we authorize this mortgage company to check my credit, employment history and other information stated on this application.

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